Individual
MISS SHILPA VESU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
175 LAWRENCE AVE, BROOKLYN, NY 11230-1102
(718) 436-7979
Mailing address
14616 58TH AVE, FLUSHING, NY 11355-5410
(318) 607-2828
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
034662
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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